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Information about uterine fibroids
Minimally Invasive Therapy Unit & Endoscopy Training Centre
University Department of Obstetrics and Gynaecology
Royal Free Hospital
Pond Street
Hampstead
London NW3 2QG, UK

Laparoscopic hysterectomy

Laparoscopic hysterectomy is a recent operation which was first described in 1989. It is the equivalent of laparoscopic myomectomy in terms of approach and the instruments used; typically, surgery starts using the laparoscope and miniature instruments inserted through the abdomen, and the hysterectomy is completed through the vagina. If appropriate, ovaries are easily removed at the same time.

Laparoscopic hysterectomy is a slow procedure, just like laparoscopic myomectomy. Recovery, however, is relatively fast, and comparable to vaginal hysterectomy. The complication rate is also generally considered to be similar.

PROS
Small external scars only
Can deal with scar tissue or ovarian problems
Subtotal hysterectomy relatively simple
Complications usually less likely than with abdominal hysterectomy
Relatively fast recovery>

CONS
Not suitable if the fibroids are very large
Surgery can take several hours

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THIS SITE: Home ¦ What are fibroids ¦ Symptoms ¦ Diagnosis ¦ Treatment overview ¦ Medical treatment ¦ Myomectomy ¦ Hysterectomy ¦ Uterine artery embolisation ¦ Operation movies ¦ Fibroid Clinic
USEFUL INFORMATION: Other fibroid web sites ¦ Heavy periods ¦ Pelvic pain¦ Infertility ¦ Endometriosis ¦ Adhesions ¦ Polycystic ovaries
CONTACT: Appointment ¦ Find us ¦ Downloads ¦ Guestbook ¦ Comments or enquiry
USEFUL LINKS: One Stop Fertility Clinic ¦ Royal Free Hospital ¦ Gynaecology Workshops ¦ MRCOG & DRCOG Courses ¦ Royal College of Obstetricians and Gynaecologists ¦ The Hysterectomy Association ¦ Really Useful Software

MEDICAL NOTES
Operative laparoscopy

With the aid of small instruments, laparoscopy can also be used to perform surgery formally done by laparotomy (large incision). Laparoscopic procedures are usually associated with shorter hospital, less discomfort and faster recovery.

Indications for laparoscopic surgery include conditions such as endometriosis, adhesions, ovarian cysts, tubal disease. Laparoscopy can also be used to excise fibroids; as with hysteroscopic myomectomy, this route of surgery is only indicated providing the fibroids are not over large or too numerous, and situated mainly on the outside of the uterus.